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ASRM Responds to Senate Vote on IVF Bill
Statement attributable to Sean Tipton, Chief Advocacy and Policy Officer
For Immediate Release
Washington, DC – The American Society for Reproductive Medicine (ASRM) is disappointed that a filibuster prevented the passage of the Right to IVF Act. Championed by Senators Tammy Duckworth, Patty Murray, and Cory Booker this legislation aims to create a statutory right for healthcare professionals to provide In Vitro Fertilization (IVF) and increase access to IVF treatments for all Americans, including active-duty service members, veterans, and federal employees. If enacted, the bill would mandate insurance coverage for fertility treatments, making them more affordable. ASRM has long advocated for federal protections and insurance coverage for IVF and is thrilled that Senate Majority Leader Chuck Schumer brought this historic package to the Senate floor.
Record numbers of our members contacted their Senators to ask for their support, and dozens came to DC from all over the country to advocate for this bill. We know the majority of Americans support access to IVF and we will not rest until that access is guaranteed to all Americans. While politics kept this bill from passing today, we were pleased that the pro IVF side got more votes today than did the opposition. Even those who voted against the bill issued a statement supporting IVF in general stating, ‘We strongly support continued nationwide access to IVF, which has allowed millions of aspiring parents to start and grow their families.”
Momentum is clearly on our side. On the other side of the Capitol, this morning, Representatives Susan Wild and Debroah Wasserman-Shultz announced the launch of a discharge petition to force a vote on the Right to IVF Act in the House.
To paraphrase Admiral John Paul Jones during the Revolutionary war,
For almost a century, the American Society for Reproductive Medicine (ASRM) has been the global leader in multidisciplinary reproductive medicine research, ethical practice, and education. ASRM impacts reproductive care and science worldwide by creating funding opportunities for advancing reproduction research and discovery, by providing evidence-based education and public health information, and by advocating for reproductive health care professionals and the patients they serve. With members in more than 100 countries, the Society is headquartered in Washington, DC, with additional operations in Birmingham, AL. www.asrm.org
For media inquiries regarding this press release contact:
Sean Tipton
ASRM Chief Advocacy and Policy Officer
E: stipton@asrm.org
Anna Hovey
Advocacy Engagement Specialist
E: ahovey@asrm.org
J. Benjamin Younger Office of Public Affairs
726 7th St. SE
Washington, DC 20003
Tel: (202) 863-2494
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My wife and I have been seeking IVF treatment and coverage was added for infertility treatment (up to $25,000) but our insurer keeps denying it. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Cycle coordination fees and 99499, S4042
I reviewed cycle coordination fees, but see that there is no specific code for cycle management. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Reimbursement for cost of donor egg
My wife and I are going through a fertility treatment process, and we have purchased a donor egg out-of-pocket from a donor bank. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding for Ovarian tissue cryopreservation, experimental or not?
For Cryopreservation; Reproductive Tissue Ovarian- 0058T code is not being recognized. Is there an updated one being used or a replacement of this code? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Supervising provider for embryology billing
We typically bill our IVF Lab work under the rendering provider who performs the VOR. Who should be the supervising provider for embryology billing? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing 58558 and 58560 together
Can CPT codes 58558 and 58560 be billed together? Also, can 58560 be billed with place of service 11? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Total versus Free estradiol
Should patients with fertility issues be billing Estradiol Free (82681) instead of Estradiol Total (82670)? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Unlisted Fertility Treatment CPT Code
Can you please refer me to an unlisted management CPT code for fertility treatment? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Vitamin D Testing in Infertility Patients
We are being told that, as of this year, vitamin D level screening is not being covered by many insurers. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Z Codes Vs. Procedure Codes For Fertility Preservation Counseling
I am trying to understand better when to use the procreative management code vs the fertility preservation counseling and procedure codes. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Initial Visit for Infertility With No Mandated Coverage
What code would be appropriate for an initial visit for infertility? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Non-REI Board Certified MD Performing REI Procedures
My boss has a few follow up questions about a non-REI board certified MD performing REI procedures. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
ICD-10 Code For Intrauterine Insemination (IUI) For Same-Sex Couple
Which ICD-10 code you recommend for IUI same gender couples? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Flat Fee For Outside Monitoring
Can our office charge outside monitoring patients a flat fee to be seen? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Global Billing Vs Billing Under Provider
For an IVF cycle (that is not being billed global to an insurance plan) is it appropriate to bill the charges under one “global” provider? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Culture Denied As Experimental
We have received denials from insurance payers when billing CPT code 89251. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Frozen Embryo Transport
What is the code for the cost of frozen embryo transport? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Diagnosis Codes For Intrauterine Insemination (IUI)
I was reviewing your Coding Corner information to find a definitive diagnosis for IUI procedures. Which diagnosis is the most appropriate? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Donor Egg-Retrieval On Recipient's Claim
Is the donor egg retrieval included on the bill to insurance with the first IVF treatment for the recipient? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing at an Outside Clinic for Lab Services
One of my physicians uses an outside facility to perform the retrievals and transfers. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing For Procedures Performed By Outside Physicians
Our physician tested positive for COVID-19, so another physician not associated with our office performed our egg retrievals and embryo transfers. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Board Certified Vs. Non-Board Certified Billing
Is coding/billing any different when a non-board certified or non-REI provider submits for REI procedure? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding For Alpha-Fetoprotein Testing
My clinic is looking into implementing Alpha-Fetoprotein (AFP) testing. I understand there is currently no CPT code listed for this testing. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing For Cryopreservation Of Embryos Under The Male Partner
Can 89258 be billed under the male partner of a female patient? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding For Long-Term Storage Of Embryos
We have recently been contacted by a payer stating we have a patient whose plan will cover long-term storage of her embryos. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Claim Form for Donor Egg Retrieval
What bill form is used of IVF donor egg retrieval? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding For Donor Egg Retrieval For Male Intended Parent
In coding a donor-egg retrieval to bill to insurance under the male intended parent, would it be appropriate to use the Z31.83? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Male Infertility
A summary of common codes for Male Infertility compiled by the ASRM Coding Committee. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Mental-health Services During Assisted Reproduction
A summary of codes for Mental-health Services During Assisted Reproduction compiled by the ASRM Coding Committee. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
PCOS
A summary of codes for PCOS as compiled by the ASRM Coding Committee. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Recurrent Pregnancy Loss (RPL)
Strategy for coding for a patient with RPL - codes compiled by the ASRM Coding Committee. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Laboratory Procedures during ART Cycles
A listing of codes, compiled for a fresh ART cycle, transfer, biopsy, cryopreservation of embryos and oocytes, storage, and thawing. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Transfer
A summary of Embryo Transfer codes collected by the ASRM Coding Committee View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometriosis
A summary of common codes for Endometriosis compiled by the ASRM Coding Committee View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Fibroids
A summary of codes to use with fibroids and myomas compiled by the ASRM Coding Committee View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Fertility Preservation
A summary of codes for Fertility Preservation compiled by the ASRM Coding Committee. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Jan 2022: Modifier 93 – Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System
At the September 2021 CPT Editorial Panel Meeting, a new Modifier was accepted to describe real-time telemedicine services. View the Letter![Coding Icon](/globalassets/_icons/codingcorner.png)
Feb 2021: CMS holds physicians harmless from Merit-based Incentive Payment System (MIPS) penalties amid COVID-19 Public Health Emergency
CMS announced it will hold physicians harmless from up to 9% MIPS penalties due to the significant disruptions of the COVID-19 public health emergency. View the Letter![Coding Icon](/globalassets/_icons/codingcorner.png)
Jan 2021: Coding for COVID-19 Vaccine Administration
AMA has published an update to the Current Procedural Terminology (CPT®) code set that includes new vaccine-specific codes to report immunizations. View the Letter![Coding Icon](/globalassets/_icons/codingcorner.png)
Jan 2021: Telehealth Coding Extension and 2021 Medicare Physician Fee Schedule
Effective January 11, 2021, the U.S. Department of Health and Human Services' Secretary Azar has extended the COVID-19 Public Health Emergency (PHE). View the Letter![Coding Icon](/globalassets/_icons/codingcorner.png)